| NPI | 1528630068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA Ci48220725) |
| Additional Taxonomies | 374700000X Technician (Licence: CA R1467620522) |
| Enumeration Date | 2021-07-14 |
| Last Update Date | 2026-03-27 |